Sep 1, 1977

Chest pain and bilateral atrioventricular valve prolapse with normal coronary arteries in isolated corrected transposition of the great vessels. Clinical, angiographic and metabolic features

The American Journal of Cardiology
M J CowleyB Soto

Abstract

A man evaluated for disabling chest pain was found to have isolated anatomically corrected transposition of the great vessels. Angiography demonstrated right and left atrioventricular (A-V) valve prolapse and normal coronary arteries. Atrial pacing produced chest pain, ischemic electrocardiographic changes, abnormal myocardial lactate metabolism and marked elevation of the left ventricular end-diastolic pressure; all of these changes returned to normal on termination of pacing. The association of corrected transposition and bilateral A-V valve prolapse and the possible causes of myocardial ischemia in this patient are discussed.

  • References15
  • Citations2

Citations

Mentioned in this Paper

Ptosis
Tricuspid Valve Insufficiency
Transposition of Great Vessels
Myocardium
Glucose, (beta-D)-Isomer
Myocardial Ischemia
Lactates
Lactation Disorders
Artificial Cardiac Pacemaker
Chest

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